Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-26
- Stop
- 2014-04-26
The parties
- Patient
- patient Santos Sulema Boyer
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
2474a716-f77f-8720-dce4-268c99041c71